VYTAUTAS BACIULIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000095

License Status

EXPIRED

Business

First Name

VYTAUTAS

Last Name

BACIULIS

Suffix

Business Name

VYTAUTAS BACIULIS MD

Original Issue Date

12/22/1999

Effective Date

12/22/1999

Expiration Date

06/01/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006